When diagnosing gout, doctors, along with medications, recommend patients to change their diet first. Diet for gout is an essential component of the complex treatment of the disease. Its use will speed up recovery as much as possible, quickly relieve pain symptoms, reduce the severity of attacks and prolong periods of remission.
Principles and benefits of the diet
The main goal of diet therapy is to organize such a diet that helps fight pathology and prevent relapses. With gout, the diet is aimed at:
- regulation of purine metabolism;
- decrease in the amount of urates;
- normalization of the process of removing excess uric acid;
- regulation of metabolic processes;
- increased alkalinity of urine;
- weight loss if you are overweight;
- general health of the patient.
A hypopurine type of nutrition is being formed on the basis of therapeutic principles and the rules of dietary schemes, including the prohibition of foods with a high rate of purine compounds, salts and oxalic acids. It is also necessary to reduce the amount of fat, carbohydrates and protein compounds consumed.
Therapeutic nutrition and gout diet provides for an increase in the proportion of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective is a one-time 4-5 regimen of proper nutrition with an average calorie content of between 2500 and 2800 units.
Important!
The consumption regimen should ensure the flow of fluids into the body in an amount of 2. 5 liters or more.
How to organize meals
To maximize the effectiveness of the gout diet, you need to stick to several tips:
- the main way of cooking is boiling, baking, steaming;
- drain the meat broth after boiling for 10 minutes;
- alternate meat, fish and vegetarian dishes;
- use only natural liquids;
- spend days of fasting;
- avoid fasting.
Important!
In the presence of chronic diseases, it is necessary to contact a specialist for the development of an individual nutrition system.
The main types of diets
The organization of proper therapeutic nutrition will not completely eliminate gout, but will significantly alleviate the manifestation of the pathology and prevent its recurrence. The type of diet prescribed will largely depend on the general condition of the patient, his weight, the presence of additional diseases and even sex.
The main type of medical nutrition for gout is a diet - table number 6. In addition, patients with gout, especially those suffering from shortness of breath and overweight, often use diet table number 8, alkaline diets, rice and wheat Saracen. Diets based on kefir, cottage cheese, fruit or vegetables are suitable for fasting days.
Dietary table number 6
It is primarily prescribed to patients with gout. It allows in a short time to normalize the exchange of purine compounds and eliminate the causes of crystallization and accumulation of uric acid salts.
Compliance with nutritional requirements reduces the activity of uric acid reactions in the body. As a result, the patient's well-being rapidly improves, the growth of the inflammatory process stops, swelling decreases, the sensation of pain and stiffness in the joints disappears.
High Uric Acid Diet
It is based on the refusal or reduction in the menu of products with a high purine index, refractory fats, salt.
It is proposed to replace them with products with an alkalizing effect: dairy products, sour milk, cottage cheese, fruits and vegetables. The diet includes one day of fasting per week.
Diet for exacerbation of gout
First of all, during an exacerbation, it is necessary to increase the amount of liquids that you drink up to 3 liters. So completely exclude meat and fish dishes. The lack of animal protein can be overcome by increasing the proportion of dairy and dairy products in the diet.
Before the end of the acute period of the disease, fasting days should be arranged every other day, eating one type of food (cottage cheese, kefir, boiled vegetables, fruits).
Important!
Fasting causes a strong release of uric acid and is strictly prohibited in gout.
Dietary table number 8
Table number 8 strictly regulates nutrition for gouty legs in patients with large overweight. This diet is aimed at increasing metabolism and getting rid of excess fat in the body.
The main difference from the general requirements of a therapeutic diet for gout in this case is a moderate reduction in calorie content and the intake of fluids to drink, on average, up to 1. 5 liters per day.
On a note!
For men with gout, the diet involves maintaining the calorie content of food at a level of no less than 2100-2500 units. With gout for women, diet number 8 limits the menu in the range of 1400 to 1700 kcal.
Buckwheat diet
The low calorie content of buckwheat allows it to be used in therapeutic dietary nutrition. Its consumption restores disturbed metabolic processes, quickly gives a feeling of fullness and allows you to forget the feeling of hunger for a long time. Buckwheat is the leader in the presence of vitamins and all kinds of trace elements.
The proteins of vegetable cereals are better absorbed and is able to completely replace the animal. In the phase of restoration of bone and muscle tissues, the product helps in the regeneration processes. Buckwheat porridge in combination with kefir is ideal for fasting days for gout.
On a note!
Buckwheat is prepared from dietary foods most often without salt. The buckwheat diet allows you to quickly reduce weight, which has a positive effect on the joints prone to the destructive effects of gout.
rice diet
The rice-based diet is often used to cleanse the body and as a way to lose weight. Rice with gout accelerates metabolism, removes excess water and salt, relieves swelling well. Manganese, selenium, phosphorus, iron, zinc, which are part of rice, have a beneficial effect on all the life support systems of the body.
The porous structure of cereals extracts toxins, salts and harmful waste accumulated by diseased joints. The rice diet can also be used for fasting days, especially during an exacerbation of gout.
Important!
For the diet, only brown or white long-grain steamed rice is used. When treating gout with nutrition, these grains can be used on a daily basis.
alkaline diet
Increased acidity in the body negatively affects metabolic processes. This is accompanied by a lack of calcium and the destruction of bone tissue. Using an alkaline diet will help prevent processes that are dangerous to health. The basis of the diet are fruits, sour milk and dairy products. This diet can be used both during the period of exacerbation of gout, and in the phase of remission.
Prohibited and permitted products
In order to properly rebuild the nutritional system, it is necessary to know which foods will benefit and help in the fight against gout, and which will have a detrimental effect and cause an exacerbation of the disease.
All food products can be listed in the table of staple foods of the gout diet, depending on the quantitative content of purines, salt, fat and other harmful substances. The main sign of the division of the gout product list is the content of purine compounds.
| High in purines | Low purine |
|---|---|
|
|
Important!
It is strictly forbidden for gout to take drinks containing any amount of alcohol.
What products are useful
By determining the level of purines and unhealthy fats in foods, you can find out exactly which foods can be eaten with gout without harm to health, and which ones should be limited.
On a note!
Fruits in the product group especially useful for gout include pears, bananas, and apples. Malic acid, which is part of the fruit, is able to neutralize the action of uric acid.
Potassium destroys uric acid crystals, which contributes to its accelerated removal from the body. Ascorbic acid heals, restores and strengthens the connective joint tissues. Particularly useful is the nutrition of fruits in the composition of fermented milk products.
Great benefits for gout will bring regular use of fresh cherries and cherry compotes. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in gout.
The useful substances contained in strawberries and strawberries neutralize uric acid and prevent the formation of its crystals in the joints.
On a note!
You can include these berries and fruits in unlimited quantities in your gout diet.
What foods can not be eaten
In addition to the products indicated in the summary table, strong broths of meat, fish and mushrooms should be excluded from the diet. They are contraindicated due to the high purine content in them, which can cause a sharp exacerbation of gout. Undesirable and fish, canned meat, containing a large percentage of salt. Their use with a purine diet disrupts the water-salt balance and contributes to the additional deposition of salts in the tissues of the joints.
The list of prohibited foods for gout also includes tea, coffee and cocoa. These drinks should not be drunk with gout, as they retain uric acid in the body, disrupting the process of its withdrawal. This leads to a relapse of the disease.
Daily menu for the week
An extensive list of products allowed for consumption allows you to individually approach the choice of dishes and to eat adequately for any gout sufferer. The recommended diet for the week is balanced, complete and made up of foods useful for gout.
| Breakfast 1 | Herb omelette, rosehip broth, carrot salad |
| Breakfast 2 | Banana, kefir |
| Dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit in onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, lemon tea |
| Dinner | Zucchini caviar, kissel |
| Breakfast 1 | Rice porridge, pear broth, tomato salad |
| Breakfast 2 | Fruit salad, kiss |
| Dinner | Onion soup, barley polenta with forest mushrooms, dried fruit compote |
| afternoon tea | Pancakes with pears, pumpkin |
| Dinner | Ricotta soufflé, linden tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rosehip broth |
| Dinner | Soup with fish balls, vegetable stew, apple jelly |
| afternoon tea | Cheesecake with sour cream, compote |
| Dinner | Pilaf with plums, kefir |
| Breakfast 1 | Rice casserole, smoothie, coleslaw with apple |
| Breakfast 2 | Strawberries with cream, green tea |
| Dinner | Beetroot with sour cream, buckwheat, turkey breast with plums, mint tea |
| afternoon tea | Pancakes with strawberries, carrot juice |
| Dinner | Herb cheese casserole, compote of pears |
| Breakfast 1 | Oatmeal with raisins, tomato juice, fruit salad |
| Breakfast 2 | Cucumber salad with olive oil, orange juice |
| Dinner | Buckwheat soup, baked zucchini with rice, orange juice |
| afternoon tea | Banana, oat jelly |
| Dinner | Steamed fish with vegetables, kefir |
| Breakfast 1 | Millet milk porridge, plum juice |
| Breakfast 2 | Salad with young carrots and garlic, plus an apple |
| Dinner | Egg soup, cabbage rolls with vegetables and turkey meat, apple juice |
| afternoon tea | Cottage cheese with banana, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| 1st breakfast | Poached egg, green tea |
| 2nd breakfast | Pear, green tea with marshmallows |
| Dinner | Borscht without meat, macaroni and cheese, fruit compote |
| afternoon tea | Baked apples with cottage cheese, lemon drink |
| Dinner | Vinaigrette, lime decoction |
Allowed fruits and vegetables can be eaten in unlimited quantities as an addition to the main menu. It is best not to use wheat bread for patients with gout, including the big toe.
Important!
Food with the addition of natural honey for gout can cause an allergic reaction.
Diet recipes
The sample menu proposed for the week includes many diet dishes, tailored to what you want to eat. If desired, they can be replaced with others using a list from the table of allowed foods for gout and advice on what you can and cannot eat with gout.
Borsch without meat
Peel 1 beet, carrot, onion. Boil the diced onion and grated root vegetables in olive oil on a coarse grater with the addition of a tomato or 1 tbsp. L. tomato. 4 potatoes cut into cubes, boil in 1, 5 liters of water. For 10 min. until cooked, add the fresh cabbage cut into strips. For 5 min. - vegetable stew. Season with salt to taste. When serving, add parsley, dill and a tablespoon of sour cream.
Plum pilaf
Rinse a glass of rice. In a cauldron with vegetable oil, add 2 onions cut into strips and 2 carrots into cubes. Let everything simmer a little. Add 10 pieces of washed and chopped plums. We pass everything until the vegetables are soft. Pour in the rice, mix so that it is completely saturated with oil, pour 2 cups of boiling water. Add the spices and salt to a minimum. After boiling, lower the heat and cook for 20 minutes under the lid.
Rice pudding
Boil half a cup of rice in 1 liter. water for 10 minutes. Drain the water, rinse the rice. Pour it with a glass of milk and cook for another 25 minutes. until you get a soft polenta. Beat 2 eggs and steam 50 g of raisins. Mix everything with the cooled porridge, add salt on the tip of a knife and 1 tsp. Sahara. Bake over medium heat in a greased skillet until golden brown. Serve with cherry syrup.
strawberry tea
A pinch of dry leaves with strawberries pour a glass of boiling water, soak for 3 minutes. Drink without sugar.
With these recipes for every day, you can improve your well-being and reduce the manifestations of the pathology.
Conclusion
Proper nutrition for gout should become the daily norm in the patient's life. This will slow down or even completely stop the development of the pathology. As a result, it will be possible to protect other organs from damage.
Important!
It should be remembered that diet is a supplement, not a substitute for drug therapy. The rheumatologist's recommendations should be followed at all stages of treatment.